X-ray exam of eye sockets at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$715.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$58.94 with UNITED HEALTHCARE vs $629.20 with QUALCARE — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $58.94 | ↓ -50% |
| AETNA | PPO | $78.68 | ↓ -33% |
| AETNA | HMO | $78.68 | ↓ -33% |
| AMERIHEALTH | LOCAL HMO | $93.49 | ↓ -21% |
| AMERIHEALTH | REGIONAL HMO | $95.10 | ↓ -19% |
| AETNA | MANAGED MEDICAID | $117.26 | ↓ -0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| CIGNA | PPO | $124.53 | ↑ +6% |
| CIGNA | HMO | $124.53 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $133.71 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| QUALCARE | HMO | $354.64 | ↑ +201% |
| HORIZON | MANAGED MEDICAID | $435.36 | ↑ +270% |
| HORIZON | WORKERS COMP | $461.18 | ↑ +292% |
| HORIZON | PIP | $461.18 | ↑ +292% |
| HORIZON | OMNIA | $488.27 | ↑ +315% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +356% |
| QUALCARE | PPO | $555.56 | ↑ +372% |
| AETNA | ASA | $559.85 | ↑ +376% |
| CIGNA | BH | $572.00 | ↑ +386% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $572.00 | ↑ +386% |
| HORIZON | SHP | $597.10 | ↑ +407% |
| HORIZON | HMO | $602.96 | ↑ +412% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +416% |
| HORIZON | INDEMNITY | $611.61 | ↑ +420% |
| HORIZON | PPO | $617.19 | ↑ +424% |
| QUALCARE | WORKERS COMP | $629.20 | ↑ +435% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of eye sockets at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $119.94 | $24.97 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $138.37 | $41.00 – $238.62 |
| Community Medical Center | Toms River | $132.52 | $41.00 – $231.28 |
| Clara Maass Medical Center | Belleville | $98.25 | $41.00 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $136.01 | $25.70 – $238.62 |
| Jersey City Medical Center | Jersey City | $132.78 | $32.31 – $249.21 |
| Monmouth Medical Center | Long Branch | $139.81 | $41.00 – $234.22 |
| Hackensack University Medical Center | Hackensack | $125.23 | $37.17 – $336.99 |